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Percutaneous drainage of a left subphrenic abscess through a polycystic liver

Percutaneous drainage of a left subphrenic abscess through a polycystic liver Lawrence G. Manco, MD Ultrasound and computerized tomography (CT) are now routinely utilized to diagnose, localize, and guide percutaneous drainage of intra-abdominal abscesses.lP5 Safe routes for diagnostic aspiration and subsequent catheter drainage are determined easily by these m0da1ities.l.~ Gerzof et al.’S2 have stressed the need for a safe percutaneous approach before attempting drainage. The ability to calculate a safe and effective approach has enhanced the success of percutaneous drainage procedures and decreased morbidity and mortality. 1-6 This report describes the successful percutaneous drainage of a left subphrenic abscess directly through a polycystic liver, To my knowledge, this has not been previously reported. Although contamination of sterile hepatic cysts traversed by the catheter was a prime concern, adequate drainage was accomplished without incident, and the patient remains well 8 months after percutaneous drainage therapy. quadrant suggestive of an inflammatory process [Fig. 2(A)]. A second sonogram 1 week after initial presentation again demonstrated an enlarged polycystic liver, in addition to a new cystic collection adjacent to the left hemidiaphragm [Fig. 2(B)]. The thickened, irregular walls of this collection clearly differentiated it from adjacent benign liver cysts. This appearance suggested a left subphrenic abscess or an infected liver cyst. The patient http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Percutaneous drainage of a left subphrenic abscess through a polycystic liver

Journal of Clinical Ultrasound , Volume 12 (4) – May 1, 1984

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References (15)

Publisher
Wiley
Copyright
Copyright © 1984 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870120410
Publisher site
See Article on Publisher Site

Abstract

Lawrence G. Manco, MD Ultrasound and computerized tomography (CT) are now routinely utilized to diagnose, localize, and guide percutaneous drainage of intra-abdominal abscesses.lP5 Safe routes for diagnostic aspiration and subsequent catheter drainage are determined easily by these m0da1ities.l.~ Gerzof et al.’S2 have stressed the need for a safe percutaneous approach before attempting drainage. The ability to calculate a safe and effective approach has enhanced the success of percutaneous drainage procedures and decreased morbidity and mortality. 1-6 This report describes the successful percutaneous drainage of a left subphrenic abscess directly through a polycystic liver, To my knowledge, this has not been previously reported. Although contamination of sterile hepatic cysts traversed by the catheter was a prime concern, adequate drainage was accomplished without incident, and the patient remains well 8 months after percutaneous drainage therapy. quadrant suggestive of an inflammatory process [Fig. 2(A)]. A second sonogram 1 week after initial presentation again demonstrated an enlarged polycystic liver, in addition to a new cystic collection adjacent to the left hemidiaphragm [Fig. 2(B)]. The thickened, irregular walls of this collection clearly differentiated it from adjacent benign liver cysts. This appearance suggested a left subphrenic abscess or an infected liver cyst. The patient

Journal

Journal of Clinical UltrasoundWiley

Published: May 1, 1984

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